MRS. KAREN ROSS CRNP
NPI 1245873959
Nurse Practitioner - Adult Health in Oneonta, NY

Active since October 25, 2019PECOS EnrolledAccepts Medicare Assignment
330 CHESTNUT ST, ONEONTA, NY 13820(410) 334-2227(607) 431-9027 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2021, Aug 10, 2020, Oct 25, 2019 (3 updates tracked since 2019).

About Mrs. Karen Ross Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KAREN ROSS CRNP (NPI 1245873959) is an individual adult health provider in Oneonta, New York, licensed in New York (311485) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1245873959
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. KAREN ROSSCredential: CRNP
Location Address330 CHESTNUT STOneonta, NY 13820-1212
Mailing Address330 Chestnut StOneonta, NY 13820-1212 · (607) 432-8500
Fax(607) 431-9027
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 25, 2019
Last NPPES UpdateFebruary 1, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2024
NPI 1245873959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses Licensed in NY · 311485 Licensed in MD · R166689
330 CHESTNUT ST, Oneonta, NY 13820

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Karen Ross Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648606756
PECOS Enrollment IDI20240212002962, I20260505002229
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,698 services234 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,169 services137 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
384 services143 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
349 services125 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
327 services132 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
323 services125 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Bassett Healthcare

Acute Care Hospitals · Cooperstown, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330136
LocationOne Atwell RoadCooperstown, NY 13326 · Otsego County
Emergency services Birthing friendly

O'connor Hospital

Critical Access Hospitals · Delhi, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331305
Location460 Andes RoadDelhi, NY 13753 · Delaware County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
330 CHESTNUT ST
ONEONTA, NY 13820
Skilled Nursing Facility
330 CHESTNUT ST
ONEONTA, NY 13820
Internal Medicine
330 CHESTNUT ST
ONEONTA, NY 13820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karen Ross's NPI number?

The NPI number for Karen Ross is 1245873959. It was assigned to this individual provider in the NPPES registry on October 25, 2019.

Where is Karen Ross located?

Karen Ross practices at 330 Chestnut St, Oneonta, NY 13820. The listed phone number is (410) 334-2227.

What is Karen Ross's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Karen Ross enrolled in Medicare?

Yes. Karen Ross is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Karen Ross accept?

Health plans from AmeriHealth Caritas Next list Karen Ross as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Karen Ross affiliated with any hospitals?

According to CMS data, Karen Ross is affiliated with Wynn Hospital, Bassett Healthcare and O'connor Hospital.

When was this NPI record last updated?

The NPPES record for Karen Ross was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.